HOME
FORM

Online Fire Safety Application

This Online Permit Application is applicable for new permits only. Modifications will be handled outside of the online permit application portal.
Please contact your Plan Review Team or fdpermits@beverlyhills.org for questions

* Indicates required field
1. PROJECT DETAILS
Choose Application Type(s) *



Does this project require any sort of construction that would require a building permit?
If so, a building permit number is required to proceed.*


YES NO
BUILDING PERMIT NUMBER *
PROJECT ADDRESS
DESCRIPTION OF WORK*
WORK PROPOSED ON* MAIN BUILDING   
ACCESSORY STRUCTURE (Garage, Pool House, Trellis, BBQ, Accessory Dwelling Unit)
VALUATION*
FLOOR Area of Work (Estimated SQ. FT.)*
2 (a). APPLICANT    
COMPANY NAME
FIRST NAME LAST NAME
EMAIL* The email address entered in this field will be your Electronic Plan Review login.
ADDRESS CITY, STATE , ZIP
PHONE* OFFICE PHONE
2 (b). PROPERTY OWNER INFORMATION     
SAME AS APPLICANT COMPANY NAME
FIRST NAME LAST NAME
EMAIL
ADDRESS CITY, STATE , ZIP
PHONE WORK PHONE
2 (c). CONTRACTOR     
SAME AS APPLICANT
LICENSE NO
LICENSE EXP DATE COMPANY NAME
FIRST NAME LAST NAME
EMAIL
ADDRESS CITY, STATE , ZIP
PHONE OFFICE PHONE
3. DECLARATIONS     
3.1 LICENSED CONTRACTOR'S DECLARATION

I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect

License Class: Lic No:
3.2 GENERAL DECLARATIONS

I have and will maintain a certificate of consent to self-insure for worker's compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.

I have and will maintain worker's compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are:

I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the worker's compensation laws of California, and agree that, if I should become subject to the worker's compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.

Print Name:
I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this City and County to enter upon the above-mentioned property for inspection purposes.
Applicant/Agent Name:
By checking this box, you are electronically signing
FILE ATTACHMENTS     
Contractor Agent Authorization Letter
Evacuation Map (if evacuation map selected)